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16)Cardiac Physiology

1.Coronary circulation(June 1996)[Pg 752-Stoelting physio pharma]


2.Describe the arterial circulation of the heart with the aid of a diagram
mentioning the unique features of coronary blood flow.Explain the
Goldmans cardiac risk index and its importance to the anaesthetist(June
2000).[Pg 21-RACE 2001,Pg 137-RACE 2003]
3.Factors affecting coronary circulation(June 2002).
4.Describe coronary circulation.Discuss factors affecting oxygen demand
and supply to the myocardium(Dec 2010)

23)CVS Pharmacology
1.CCBs in surgical patients(June 1994).
2.Compare and contrast dopamine and dobutamine as an inotropic
agent(Dec 2006).
3.Classify inotropes on the basis of their mechanism of actions.Compare
dopamine and dobutamine(June 2009).
4.Classify antihypertensive drugs.Describe the management of
hypertensive emergency(Dec 2009).[Pg 448-451-Morgan,Pg 301-ISACON
2009]
-Classify antihypertensive drugs.Describe the management of a
hypertensive episode during anaesthesia(Dec 2010).

HTN
1.Etiology and treatment of hypertension during surgery(June 1994).
2.Define perioperative hypertension.Describe the causes and
management(Dec 2005).
3.What are the causes of intra-operative hypertension in a previously
normotensive patient?Discus various modalities to manage it
4.Causes of intraoperative hypertension and discuss its management(Dec
2006).
. ARRYTHMIAS

1.Prevention and treatment of ventricular arrhythmias during GA(Dec


1995).
2.Cardiac arryhthmias during anaesthesia(Dec1996)
3.Discuss the etiology and management of SVTs during surgical
procedures(June 1998)/Management of multifocal ventricular ectopics
during anaesthesia(June 1998).
4.Discuss the etiology and management of various cardiac arrhythmias
occurring during anaesthesia(Dec 2003)(Dec 2004).
5.Desribe the cardiac conduction system.How do you manage a patient
with PSVT?(Dec 2010).
6.Describe the common arrhythmias encountered during pre-operative
period.Discuss the therapeutic uses of Amiodarone(June 2011).
7.Discuss the etiology and management of Supra Ventricular arrhythmias
during surgery under GA(June 2012)

BETA BLOCKERS
1.Beta receptor blockade :-its relation in anaesthesia(June 1996).[Pg 32OAR]
2.Perioperative beta blocker therapy(Dec 2007).[Pg 597-ISACON 2009]
3.Manifestation and treatment of beta adrenergic toxicity(June 1997).[Pg
330-SPP]
4.Effect of atenolol pretreatment on CVS,NMJ and IOP(June 2003).

PAC
1.Evaluation of cardiac patient for non cardiac surgery(June 2004).
2.Enumerate the RCRI.Draw the algorithm of cardiac evaluation for noncardiac surgery as recommended in ACC/AHA 2007 guidelines on perioperative CVS evaluation and care(June 2010).
3.How will you evaluate a 50 year old male patient with history of IHD
presenting for major abdominal surgery?(Dec 2011). IHD

CORONARY STENT
1.Guidelines for management of anaesthesia in a patient with coronary
stent(June 2008).

2.Draw the algorithm for preoperative management of a patient receiving


antiplaelet therapy as recommended by ACC/AHA guidelines in
perioperative cardiovascular evaluation and care.Describe the
preoperative management of a patient with coronary stent(Dec 2009)[Pg
235-ISACON 2009]
3.Describe the anaesthetic considerations in patients having coronary
artery stent(Dec 2010).

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CARDIAC PATIENT FOR NON CARDIAC SURGERY
1.Discuss the preoperative evaluation and anaesthetic management of an
emergency abdominal operation in a 60 year old man who had MI 6 weeks
back(1996-2000).
2.Preoperative preparation and evaluation of a patient with history of
exertional angina for surgery under general anaesthesia.(June 1996)
3.Discuss briefly the preoperative evaluation and anaesthetic
management of a 50 year old patient who had acute MI three months ago,
and is scheduled for inguinal hernia repair(Dec 2006).
4.Discuss your anaesthetic management of strangulated inguinal hernia in
a patient with a recent MI(June 1999).
5.Describe the arterial circulation of the heart with the aid of a diagram
mentioning the unique features of coronary blood flow.Explain the
Goldmans Cardiac risk Index and its importance to the anaesthetist(19962000).
6.Pathophysiology of CAD.Discuss the anaesthetic management of a
patient with angina(June 2004).
7.Cardiac evaluation for non-cardiac surgery(June 2004).
8.Anaesthetic management of a case of essential hypertension scheduled
for upper abdominal surgery(June 2005).
9.Classify cardiomyopathies.Describe management of a 60 year old male
with dilated cardiomyopathy scheduled for laparotomy(Dec 2010)
10.What is diastolic dysfunction?Discuss the evaluation and implications
to the anaesthetists(Dec 2011).[Chapter 6-Stoelting co-existing]

11.Discuss the pre-operative evaluation of a patient with IHD.Discuss the


perioperative monitoring for MI and its management(June2012).
12.What are the predictors of cardiac risk in cardiac patients undergoing
non cardiac surgery?Describe briefly the anaesthetic consideration in a
patient with coronary artery disease with ejection fraction of 40% for
laparoscopic cholecystectomy(Dec 2012).

VALVULAR DISEASES
1.Clinical features of infective endocarditis,principle guidelines to use
antibiotics as prophylaxis against,during surgery(June 2005).
2.Discuss the anaesthetic management of 20 year old male with RHD with
MS for closed mitral valvotomy(June 2007).[Pg 3 OAR,Pg 31-Stoelting]
3.Preop evaluation and anaesthetic management of a 30 year old patient
with MS and AF scheduled for balloon angioplasty and valvoplasty(Dec
2007)[CEACCP vol 5 no.6 2005]

HTN
1.Define HTN.How will you evaluate and prepare preoperatively a 40 year
old female patient scheduled for abdominal hysterectomy.Discuss the
anaesthetic and postoperative management of such a case?(Dec 2000)